Title Page
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Conducted on
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Prepared by
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Location
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does the property have a direct route to the kitchen
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is the outside stop tap easily accessible
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Is the fuse box accessible ? state in notes location
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has the tenant agreed to stay out of the kitchen for the duration of the install?
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will white goods be removed ( if no please state location for fitter to place
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are you happy for us to use a sanitizing machine to make the area safe
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does the property have a combi boiler in the kitchen
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able to park van at property
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will the tenant be staying at the property
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Any other points to add ? please add in notes
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I confirm that I am happy with the risk assessment carried out, the kitchen will be left empty and all the above info has been explained to me
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Tenants Signature
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Team leader Signature
